Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma

BackgroundRetinal ganglion cells (RGCs) axon loss at the site of optic nerve head (ONH) is long believed as the common pathology in glaucoma since different types of glaucoma possessing different characteristic of intraocular pressure, and this damage was only detected at the later stage.MethodsTo a...

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Main Authors: Lan Zhou, Dongyue Lin, Guihua Xu, Xiaoyi Wang, Zilin Chen, Dingding Wang, Huiya Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1091697/full
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author Lan Zhou
Lan Zhou
Dongyue Lin
Guihua Xu
Xiaoyi Wang
Zilin Chen
Dingding Wang
Huiya Fan
author_facet Lan Zhou
Lan Zhou
Dongyue Lin
Guihua Xu
Xiaoyi Wang
Zilin Chen
Dingding Wang
Huiya Fan
author_sort Lan Zhou
collection DOAJ
description BackgroundRetinal ganglion cells (RGCs) axon loss at the site of optic nerve head (ONH) is long believed as the common pathology in glaucoma since different types of glaucoma possessing different characteristic of intraocular pressure, and this damage was only detected at the later stage.MethodsTo address these disputes and detect early initiating events underlying RGCs, we firstly detected somatic or axonal change and compared their difference in acute and chronic phase of primary angle-closed glaucoma (PACG) patient using optical coherence tomography (OCT), then an axonal-enriched cytoskeletal protein neurofilament heavy chain and its phosphoforms (NF-H, pNF-H) were utilized to reveal spatio-temporal undetectable damage insulted by acute and chronic ocular hypertension (AOH, COH) in two well characterized glaucoma mice models.ResultsIn clinic, we detected nonhomogeneous changes such as ONH and soma of RGCs presenting edema in acute phase but atrophy in chronic one by OCT. In AOH animal models, an increase expression of NF-H especially its phosphorylation modification was observed as early as 4 h before RGCs loss, which presented as somatic accumulation in the peripheral retina and at the sites of ONH. In contrast, in microbeads induced COH model, NF-H and pNF-H reduced significantly, these changes firstly occurred as NF-H or pNF-H disconnection at ONH and optic nerve after 2 weeks when the intraocular pressure reaching the peak; Meanwhile, we detected aqueous humor pNF-H elevation after AOH and slight reduction in the COH.ConclusionTogether, our data supports that early alteration of NF-H and its phosphoforms would reveal undetectable subcellular damage consisting of peripheral somatic neurofilament compaction, impaired axonal transport and distal axonal disorganization of cytoskeleton beyond the ONH, and identifies two distinct axonal degeneration which were Wallerian combination with retrograde degeneration in acute PACG and retrograde degeneration in the chronic one.
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spelling doaj.art-ff235daeaeea44658bd33cc86c6e8ac32023-03-22T05:01:42ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-03-011410.3389/fneur.2023.10916971091697Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucomaLan Zhou0Lan Zhou1Dongyue Lin2Guihua Xu3Xiaoyi Wang4Zilin Chen5Dingding Wang6Huiya Fan7Ophthalmological Center of Huizhou Central People's Hospital, Huizhou, Guangdong, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, ChinaOphthalmological Center of Huizhou Central People's Hospital, Huizhou, Guangdong, ChinaOphthalmological Center of Huizhou Central People's Hospital, Huizhou, Guangdong, ChinaOphthalmological Center of Huizhou Central People's Hospital, Huizhou, Guangdong, ChinaOphthalmological Center of Huizhou Central People's Hospital, Huizhou, Guangdong, ChinaOphthalmological Center of Huizhou Central People's Hospital, Huizhou, Guangdong, ChinaBackgroundRetinal ganglion cells (RGCs) axon loss at the site of optic nerve head (ONH) is long believed as the common pathology in glaucoma since different types of glaucoma possessing different characteristic of intraocular pressure, and this damage was only detected at the later stage.MethodsTo address these disputes and detect early initiating events underlying RGCs, we firstly detected somatic or axonal change and compared their difference in acute and chronic phase of primary angle-closed glaucoma (PACG) patient using optical coherence tomography (OCT), then an axonal-enriched cytoskeletal protein neurofilament heavy chain and its phosphoforms (NF-H, pNF-H) were utilized to reveal spatio-temporal undetectable damage insulted by acute and chronic ocular hypertension (AOH, COH) in two well characterized glaucoma mice models.ResultsIn clinic, we detected nonhomogeneous changes such as ONH and soma of RGCs presenting edema in acute phase but atrophy in chronic one by OCT. In AOH animal models, an increase expression of NF-H especially its phosphorylation modification was observed as early as 4 h before RGCs loss, which presented as somatic accumulation in the peripheral retina and at the sites of ONH. In contrast, in microbeads induced COH model, NF-H and pNF-H reduced significantly, these changes firstly occurred as NF-H or pNF-H disconnection at ONH and optic nerve after 2 weeks when the intraocular pressure reaching the peak; Meanwhile, we detected aqueous humor pNF-H elevation after AOH and slight reduction in the COH.ConclusionTogether, our data supports that early alteration of NF-H and its phosphoforms would reveal undetectable subcellular damage consisting of peripheral somatic neurofilament compaction, impaired axonal transport and distal axonal disorganization of cytoskeleton beyond the ONH, and identifies two distinct axonal degeneration which were Wallerian combination with retrograde degeneration in acute PACG and retrograde degeneration in the chronic one.https://www.frontiersin.org/articles/10.3389/fneur.2023.1091697/fullneurofilament heavy chainoptic nerve headretinal ganglion cellsaxon degenerationacute angle closed glaucomachronic angle closed glaucoma
spellingShingle Lan Zhou
Lan Zhou
Dongyue Lin
Guihua Xu
Xiaoyi Wang
Zilin Chen
Dingding Wang
Huiya Fan
Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma
Frontiers in Neurology
neurofilament heavy chain
optic nerve head
retinal ganglion cells
axon degeneration
acute angle closed glaucoma
chronic angle closed glaucoma
title Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma
title_full Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma
title_fullStr Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma
title_full_unstemmed Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma
title_short Alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma
title_sort alteration of neurofilament heavy chain and its phosphoforms reveals early subcellular damage beyond the optic nerve head in glaucoma
topic neurofilament heavy chain
optic nerve head
retinal ganglion cells
axon degeneration
acute angle closed glaucoma
chronic angle closed glaucoma
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1091697/full
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